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GIPSON, SHELLEY DEANNE
Practice Address: BALLARD NURSING CENTER
201 WEST 5TH
PO BOX 1946
ADA OK 74820
Phone #:
Fax #:
County: PONTOTOC
License: 221
Dated: 7/20/1994
Expires: 10/31/1995
Temp. Ltr. Issued: 6/23/1994
Temp. Ltr. Expires: 7/23/1994
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
BALLARD NURSING CENTER
201 WEST 5TH
PO BOX 1946
ADA OK 74820

Phone #:
Fax #:

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